| Condition |
T |
B |
F |
VP |
| Lose your place while reading or copying |
X |
X |
|
|
| Substitute words while reading or copying |
X |
X |
X |
|
| Reverse letters, numbers or words |
|
|
|
X |
| Use a finger or marker to keep place while reading/writing |
X |
X |
|
|
| Read very slowly |
X |
X |
X |
|
| Tilt head in an unusual posture when reading or writing |
|
X |
|
|
| Crooked or poorly spaced writing |
|
|
|
X |
| Poor spelling skills |
|
|
|
X |
| Difficulty tracking moving objects |
X |
X |
|
|
| Difficulty with eye‐hand coordination sports such as baseball |
X |
X |
|
X |
| Below grade level on standardized tests |
X |
X |
X |
X |
| Avoid near tasks such as reading |
X |
X |
X |
|
| Confuse right and left directions |
|
|
|
X |
| Restless when working at a desk |
X |
X |
X |
X |
| Totals |
25 |
28 |
13 |
19 |
| Maximum Possible |
69 |
84 |
54 |
55 |
